Individual
DECORA LACHELLE BOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, LCMHC
Contact information
Practice address
2102 GOLD NUGGET DR, INDIAN TRAIL, NC 28079-8802
(980) 318-3125
Mailing address
2102 GOLD NUGGET DR, INDIAN TRAIL, NC 28079-8802
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13825
NC
Other
Enumeration date
11/02/2023
Last updated
11/21/2023
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